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EL-18-683 1 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 ' Inspection Number: INSP-300971 Permit Number: EL-3-18-683 Scheduled Inspection Date: April 06, 2018 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: gh Owner: JOHN SCHOEMANN,SCOTT MAROON Work Classification: Addition/ Iteration Job Address:960 NE 99 Street Miami Shores, FL 33138- Phone Number (954)803-0894 Parcel Number 1132060143370 Project: <NONE> a Contractor: LIGHTS OUT ELECTRIC LLC Phone: (954)249-0735 Building Department Comments REPLACE EXISTING EXTERIOR ELECTRICAL PANEL infractio Passed Comments AND REPLACE EXISTING A/C COMPRESSOR AND INSPECTOR COMMENTS False HANDLER DISCONNECTS F Inspector Comments ,cam Passed1 �-L Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. r April 05, 2018 For Inspections please call: (305)762-4949 Page 24 of 27 Permit No. EL-3-18-683 43 REE Miami Shores Village Pa Type:Electrical-Residential' Permit 10050 N.E.2nd Avenue NEWofk Classification:Addition/Alteration Miami Shores,FL 33138-0000 ��" n Pennit Status:APPROVED Phone: (305)795-2204 FCORiDA issue Date:3119/2018 F Expiration: 09/15/2018 Project Address Parcel Number Applicant 966 NE 99 Street 1132060143370 Miami Shores, FL 33138- Block: Lot: SCOTT MAROON JOHN SCHOEI Owner Information Address Phone Cell SCOTT MAROON JOHN SCHOEMANN 960 NE 99 Street (954)803-0894 MIAMI SHORES FL 33138- 960 NE 99 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,600.00 LIGHTS OUT ELECTRIC LLC (954)249-0735 Total Sq Feet: 0 Type of Work:REPLACE EXISTING EXTERIOR ELECTRICA Available Inspections: Additional Info:REPLACE EXISTING EXTERIOR ELECTRICA Inspection Type: Classification:Residential Final Scanning:3 Meter Box Alteration Relocation Fire Alarm Service Change Review Electrical W.W. Underground Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# EL-3-18-66810 DBPR Fee $2.25 DCA Fee $2.00 03/15/2018 Credit Card $50.00 $ 118.05 Education Surcharge $0.60 03/19/2018 Credit Card $ 118.05 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9,00 Technology Fee $2.40 Total: $168.05 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFID4AVIT: e ify that tUp�ikjregomg information is accurate and that all work will be done in compliance with all applicable laws regulating mo �4 uct, z 0 , -named contractor to do the work stated. construction and zonii F herm r ,I a�Kiofire the above 6,1)) March 19, 2018 S r . . w uthori d Signature:Mer Applicant I Contractor Agent Date Building Department Copy I March 19, 2018 1 4n ✓e a��,t-x n f k � Y" Miami Shores Village REtEtVEG Building Department MAR 15 2018 t 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 U '� FBC 20 'BUILDING Master Permit No. PERMIT APPLICATION Sub`Peemit No. 4' IOBUILDING FE-1 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLIC WORKS ❑ CHANGE OF' ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 960 NE 99 Street City: Miami Shores County: Miami Dade Zip: 33138 folio/Parcel#: 11-3206-014-3370 Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Scott Maroon & John Schoemann Phone#:954-803-0894 Address:960 NE 99th Street City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: smaroon561@aol.com CONTRACTOR:Company Name: Lights Out Electric LLC Phone#: 954-249-0735 Address: 11660 NW 40th Place City: Sunrise State: FL Zip: 33323 Qualifier Name: Angel Gonzalez Gerena Phone#: 954=249-0735 State Certification or Registration#: ER13014795 Certificate of Competency#: 12E000421 DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$2,600.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition Description of work: Replace Existing Exterior Electrical Panel and replace existing A/C compressor and handler disconnects. Specify color of color thru tile: Submittal Fee$ Permit Fee$ /11 S �i�1 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ -,c . Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE,$ ' CS (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip i Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I`certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS, HEATERS,TANKS,AIR CONDITIONERS,ETC..... 4 OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. r "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with on estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspe on which occu seven (7) days after the building permit is issued. In the absence of-such posted notice, the inspection will n e appr a reinspection fee will be charged. i Signatu P2 _ Signatu " OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 11123 day of �P- r 20 ,by day of IV IUU U 1 20 19 by Slow Mar von+ Sc ^oe"Iift\ ho is personally known to Amid Gon-WICZ G2r�,l�t.who is personally known to me or who has produced ondc, as me or who has produced FI Drld a V 6u S LiCU 1J�as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: 1 y Sign: Print: �� 1 I,� rtiU Print. Seal: .Is�/11.,, K�nII KOMIeV Seal: :'€,vPUB^` Notary Public-State of Florida ;t JCommission Y GG 1161AMT Mll�- 26 COMMISSION#8235983 IQ + ��d My Comm.Expires Oct 14,2021 EXPIRES: May 31, 2019 F oc c°• Bor•ded throuO National Notary Assn. www.AARONNOTARY.COM ************* ***************************�*gg************ * ********************************************* APPROVED BY L� �"� l flans Examiner Zoning Structural Review Clerk (Rev1sed02/24/2014) l CFN: 20160137062 BOOK 30887 PAGE 4648 DATE:03/08/2018 09:45:59 AM DEED DOC 3,798.00 HARVEY RUVIN,CLERK OF COURT,MIA-DADE CTY Cecilia Armernteros,Esq. Attorney at Law Arramenteros Law,P.A. 11900 Biscayne Blvd.Suite 618 Miami,FL 33181 Fil:;Number: 18.11 t Rgtur .Q Global title Alliance,LLQ: 1.680 Meridian Avenue,STE 200 Miami Jkmch,l''loridat 3313' - 'pac AN)ve This F-ie3H Fir Recordi32�DHiw�:: arras This Warran4r Deaf made this "clay of February, 2018 between John Accorner o natd Veronica Haynes ?l;ccoranero,husband and wife whose post office address is 4£31":Kjngjaost Drive, Fuquaay Varinaa,FSC:27526,prantor and John Sehoecnarnn,a single manand Scott Maroon,a single main whose:post office address is 960 1'E,99th;Street,Miami Short-s,FL 331.3 ,grantee: iWRe feiss3atis< , at�;s assiyss oz indiv idusis,:3nsi the slxc msors Wd&Ssisrs o[a:<apoWiOMS,irus£a and tr0tecsa Wftnes thn that said 1-7antoT, fi)r and in consideration of the sutra of TFN AND l'01100 DOLLARS' ($10.110) and tidier good and valuable consideration-,to said grantor in hand pain by said granteethe receipt whereof is hcrel* acknowledged, Ings granted. bargained, and scald to the said,gantee, and fznintee's heirs and assigns forever. the following described laid, sibuate,lyra ig wid being in Mnartn!-Dode County,Florida to-wit: Lot 5, 111trck 40,MIAMI SHORES SECTION NO.3,according to the Plat thereof,as recorded in Plat Book 10,at Page 3%,of the Public records of Miami-Dade County :g'.€enrich, Paircel Identification;dumber- 1.1-3205-014--33'10 Also known as:960 i*'1;i 99th Street,Miami Shores,Florida,333138 Together Nvith.all the tenements,hereditaments and appurtenances thereto belongirig or in anywise appertaining To Have and to Hold,the same in Abe simple forever. And the, grantor hereby covenmets with said:gt`,'a ee That the grantor is lawfully seised of said land in ft tc sim.ple. that the grantor has good.right awd lawful authority to sell and co nvey said laTnd,that thegrantor hereby fully-4vaarrant a the tint:to said ' land and will defend the same against the laawfbl claims of all persons Whomsoever; and that said land. is fres of all eanciannbraI nces eNcept tanaels accruing subsequent to December 31,2€11., In.Wifiness'Whereof,grantor has hereunto set grantor's handand seal the day and year first above writ:er.. Dou61eTimee d CFN: 20180137062 BOOK 30887 PAGE 4649 Signed,sealed spkd MW 6 :in alar presence: t . - �ttt\ , (Seat) WitnessfNMUme: � .va Lt�?`♦i3 `�i�?F3EiIi': it`a..�.aC�.`�,: �`.....�.�t\ ♦t�..,\.• >r ` \ t � .......... Witn,7,,s l�am w a ♦ a Yerariic'a Hayates A.ccornero } a a�\ aa`tai\ ♦ ; taaa�a� a��a t.c Z tc k`Ss Name: F`\jet ri. ,` �}\�,•t •.. ...,.\,.a. ... \; .....aa.,.a.. State of Florida County of Miami-Dade The foregoing instrument was acknowledged before ane this _\V'-_day of February,2018 by jobn Accorriagand Veronica Haynes Accarriera,who Lj are personally known ear[X]have produced a fiver's license>*i as r � , a [Notary Sea1] en �� €c Printed Name: t: My Commission Expwm: F11"Im"P4100 uo aa :;E #c Air 112i11SCaM=s3ioa 0 FF 110206 Wx-eano;Deed-Nge 2 Doub#eT#mew F 5�ORE& �tiC•1932 s� Miami shores Village some Building Department artm n et TES 10050 N.E.2nd Avenue ORIDP' Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 F 'Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers'Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time' employees,including the owner,must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if. 1 1. The officer owns at least 10 percent of the stock of the corporation,or in the case of an LLC,a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State,Division of Corporations;and 3. The corporation is registered and listed as active with the Florida Department of State,Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction.exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers'compensation exemption and has acknowledge that he or she will not use day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will be the only person allo d to work on your project.In these circumstances,Miami Shores Village does not require verification of workers'compensat' n' surance coverage from the contractor's company for day labor,part-time employees or subcontractors. BY SIGNING L YOU ACKNO LEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS i CONTENTS. Signature-, r 64&b State of Florida County of Miami-Dade The fforeggo}ing was acknowledge before me this � day of � ,206- . By 5-CA ►�:Alt � who is personally known to me or has produced I, _Dtl IS as identification. Not L.AL�Q& SEAL: +ow LAUREN ALLISON CABAN �PaEXPIItEB:July 23,2020 F Lights Out Electric, LLC Licensed(ER13014795)&Insured Master Contractor Electrician Date: March 7,2018 State of Florida County of Miami-Dade Before me this day personally appeared Angel Gonzalez Gerena who,being duly sworn, deposes and says: That he or she will be the only person working on the project located at: 960 NE 99'Street,Miami Shores,FL 33138 Con for ignature Sworn to(or affirmed)and subscribed before me this day of M W if f .20 D by Personally know OR Produced Identification Type of IdentificatJ1t'r4uceAAMY RITCIHoNotary Public-State of Florida Commission 4 GG 116126 My Comm.GxPires 14,2021 Print, 11660 NW 40th Place,Sunrise,Florida 33323 Tele:(954)249-0735 1 Website:www.lightsoutelectric.net Email: lightsoutelectric@att.net Estimate Lights Out Electric LLC DATE:FEBRUARY 20,2018 (954) 249-0735 ESTIMATE#ELOE3369 Email: lightsoutelectric954@gmail.com EXPIRATION DATE MARCH 15,2018 TO Scott Maroon Miami Shores,FL MASTER ELECTRICIAN JOB PAYMENT TERMS DUE DATE Angel Gonzalez Gerena See Below 50%Upon Acceptance 50%at Final Inspection 1 QTY DESCRIPTION LINE TOTAL Work includes: Materials&Service labor Scope of Work: - Replace A/C Compressor disconnect - Remove/Replace Exterior Main Panel - Remove/Replace A/C Handler Disconnect - Replace 1 Exterior GFCI - Replace 1 Receptacle with 1 GFCI in the Garage $2,600.00 - Interior Panel has Romex wire exposed which needs to be in '/2"EMT Conduit - Two Recessed Lighting that require Junction Boxes for each - 1 Receptacle in the Garage requires a cover DISCLAIMER:Any other work other than what is j quoted on this estimate is not included and will require an additional work order request if anything beyond scope of this estimate is requested or needed to complete the project. City Inspectors may request additional work which will be billed separately if requested and needed. i i I-OF. is NOT responsible for painting,patching, Ening tnasonn', fixing deck areas,or wood,or anything pertaining to ant• structure or covering any areas Intcrioriv/esteriorlN,with re,ards to sheetrock or plastering etc... landscaping;will be respected but 1.(_11:is also not responsible for replacing;sod,plants, flowers,etc... Furthermore,Lights Out I.;leetrie is not responsible for replacing an} electronics. appliances or anvthing;that is using;potter. TOTAL. $2,600.00 I i Estimate prepared bNr: t igel Gonzalez, Master Contractor Electrician Licensed in Miami-Dade & Broward Counn- To accept this quotation, property owner must sign, date and pay per the terms s - ed above and return to Lights Out Electric LLC (if a credit ca is used for payment a 3% surcharge will be added to total): ;. Sian and Print Name Date Estimate Accepted Thank you for considering us! r• RECEIVED To PPL, 96�b �G 99 ?� y.,j /t71law►; MAR 15 1018 wire �......!s�.... wire �� >Jr� r,;�r��lui�"� conduit e Q�� N Air Air 0 QQC2...amp ;gkcr pull e. oravi� ...e.e .e .. Ma1n MAiw ou 0000.. j..... .�'� Meter Pan ,M. • 0000. 15+n�;,- c �c��; 0000. - Veese .. •00000 Intersystem 0 0,04Bond wdwAY •••••• ALL ELECTRICAL EQUIPMENT • ,_ • � � � � yr• 1y� `�a V4� s . INSTALLED SHALL BE LISTED , � - •+••• c UAND LABELED BY APPROVED GEC TESTING LABORATORY ja ELECTRIC APPROVED SUBJECT 2--5/8 X 8' Grd Rads. TO FBC& NEC Min 6' apart Miarni Shores, Village APPROVED 9Y DATE Signa Z KING DEPT 0:40C-1111- LA :40cy�LA �©b©.yAI BLDG DEPT L6IYG 1� License# SU1U-CT-T0 COMPLIANCE WITH ALL FEDERAL ,�� £�I A r E AND COUNTY RULES AND REGULATIONS a �CC►15r�J� �